Individual
JESSICA L LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 QUAKER CHURCH RD, RANDOLPH, NJ 07869-1373
(973) 298-0763
Mailing address
1459 RANDOLPH ST, TOMS RIVER, NJ 08753-5721
(848) 468-6863
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46426
NJ
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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